Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $936.67 / $1,463.24 / $5,446.97	Professional		$936.67	$1,463.24	$5,446.97
BCBS Facility/Professional Facility Modifier Low / Median / High Price $47,000.00 / $81,499.99 / $94,999.99	Facility		$47,000.00	$81,499.99	$94,999.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,663.63 / $1,663.63 / $1,663.63	Professional		$1,663.63	$1,663.63	$1,663.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,663.63 / $1,663.63 / $1,663.63	Facility		$1,663.63	$1,663.63	$1,663.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $774.54 / $1,601.66 / $1,663.63	Professional		$774.54	$1,601.66	$1,663.63
Providence Facility/Professional Facility Modifier Low / Median / High Price $824.56 / $1,104.93 / $1,663.63	Facility		$824.56	$1,104.93	$1,663.63
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,004.14 / $1,601.66 / $2,172.80	Professional		$1,004.14	$1,601.66	$2,172.80
United Facility/Professional Professional Modifier Low / Median / High Price $1,055.46 / $1,623.69 / $1,904.56	Professional		$1,055.46	$1,623.69	$1,904.56